A Claim Form For Housing Benefit And Council Tax Support Page 24

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Paying benefit to your landlord
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continued
Slough Borough Council, Benefit Service, P.O Box 1032, Slough, Berkshire SL1 3YT
Sharing information with your landlord
Under the Data Protection Act 1998 we need your permission to discuss your claim.
If you give us permission by signing this form, we will be able to share certain information about your claim with your landlord.
We will only be able to tell your landlord whether:
• you have claimed Housing Benefit,
• we have made a decision on your claim, or
• we need more information to make a decision on your claim, and what that information may be.
We will not give your landlord any information about:
• your personal or household circumstances, or
• your financial circumstances.
You can withdraw your permission at any time.
It will not affect your claim if you do not give us permission to discuss your claim with your landlord.
If you want to give us permission to discuss your claim with your landlord, please sign below.
I give Slough Borough Council permission to share information about the progress of my Housing Benefit claim
with my landlord or their representative.
Signature
Full name
(in CAPITAL
LETTERS)
Date
/
/
Address
Postcode

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